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Advance Pain Management LLC.

Nurse Practitioner, Adult Health in Atlanta, GA. Organization (NPI-2).

NPI number1013213073
StatusActive
Last updated in NPPESMay 21, 2021

Details

NPI
1013213073
Entity type
Organization (NPI-2)
Legal business name
Advance Pain Management LLC.
Organization subpart
No
Enumeration date
Feb 8, 2011
Certification date
Feb 2, 2021
Last updated
May 21, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LA2200X Nurse Practitioner, Adult Health––Yes

Practice location

2950 Stone Hogan Conn Sw
Bldg A, Ste B
Atlanta, GA 30331-2837

Phone 404-781-2800 · Fax 404-844-2903

Mailing address

150 Medical Blvd
Ste C
Stockbridge, GA 30281-5053

Phone 404-932-6172 · Fax 404-844-2903

Authorized official

Geetha Manchireddy
Anesthesia
4049326172

Is something wrong?

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